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DWC FORM001 (Employer\'s First Report of Injury or Illness) The employer is required to file an Employer\'s First Report of Injury or Illness [DWC FORM001 Rev. 10/05] with the injured worker\'s insurance
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How to fill out workers-compensation-packetpdf

01
Obtain the workers' compensation packet either from your employer or from your state's workers' compensation board.
02
Fill out your personal information such as name, address, phone number, and social security number.
03
Provide details about your injury including when and how it occurred.
04
Include information about your employer and your job duties at the time of the injury.
05
Sign and date the form where indicated.

Who needs workers-compensation-packetpdf?

01
Employees who have been injured on the job and are seeking compensation for their injuries.
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Workers-compensation-packetpdf is a form used to report workers' compensation claims and related information.
Employers are required to file workers-compensation-packetpdf.
Workers-compensation-packetpdf can be filled out manually or electronically, with information regarding employee injuries, treatments, and compensation.
The purpose of workers-compensation-packetpdf is to track and report on workers' compensation claims for compliance and insurance purposes.
Information such as employee name, date of injury, nature of injury, treatment received, and compensation provided must be reported on workers-compensation-packetpdf.
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